Dental
Lettre, Matthew
Lettre, Matthew was paid $30K by Medicaid between Dec 2022 and Nov 2024, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 27% of everything it billed.
33Billing provider infoLETTRE, MATTHEW
GRAPEVINE, TX 76051
GRAPEVINE, TX 76051
33aNPI1053842195assigned 03/21/2017
33bProvider typeDentist
28Total paid$30K
24GClaims2,370
24DCodes billed7
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#869 of 1,678
Median peer was paid$35K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 193 | $2K | |
| 2023 | 1,464 | $20K | |
| 2024incomplete | 713 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 261 | 254 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 266 | 260 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 18% | 577 | 316 | $5K |
| D1206 | Topical application of fluoride varnish | 14% | 325 | 316 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 12% | 371 | 354 | $4K |
| D0272 | Bitewings - two radiographic images | 6.8% | 108 | 105 | $2K |
| D0603 | 0% | 462 | 453 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.